6001072 — Dinoprostone 10mg Vag Sup
Cite this view
HANK Price Transparency. (n.d.). DINOPROSTONE 10MG VAG SUP (CDM 6001072) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6001072?code_type=CDM
“DINOPROSTONE 10MG VAG SUP (CDM 6001072) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6001072?code_type=CDM. Accessed .
“DINOPROSTONE 10MG VAG SUP (CDM 6001072) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6001072?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,689–$3,459 (25th–75th percentile) across 7 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 6001072 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Health Net | Commercial|All Other Plans | $100.00 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Health Net | Commercial|Care Product | $100.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Health Net | Commercial|All Other Plans | $100.00 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | United | Commercial|All Other Plans | $463.91 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | United | Commercial|All Other Plans | $463.91 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | DHR | Medicaid|> 21 | $504.25 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | DHR | Medicaid|> 21 | $504.25 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | DHR | Medicaid|< 21 | $504.25 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | DHR | Medicaid|< 21 | $504.25 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | DHR | Medicaid|> 21 | $715.75 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | DHR | Medicaid|< 21 | $715.75 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | Redlands | Commercial|All Plans | $830.27 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Kaiser | Commercial|All Plans | $858.90 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $887.48 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $887.48 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $887.48 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $887.48 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | DHR | Medicaid|< 21 | $1,287.50 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | DHR | Medicaid|> 21 | $1,287.50 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $1,288.35 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $1,288.35 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Medicare|BlueShield Promise | $1,311.05 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Medicare|BlueShield Promise | $1,311.05 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | United | Commercial|All Other Plans | $1,316.98 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Health Net | Medicaid|DHR | $1,350.25 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $1,402.87 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $1,613.60 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $1,613.60 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|All Other Plans | $1,633.77 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|All Other Plans | $1,633.77 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | BCBS - Anthem | Commercial|Exchange | $1,689.17 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | HPN | Medicare|Senior | $1,689.17 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | Healthsmart | Commercial|All Plans | $1,754.79 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | Healthsmart | Commercial|All Plans | $1,754.79 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | HPN | Commercial|All Plans | $1,775.06 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | HPN | Commercial|All Plans | $1,803.69 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | $1,889.58 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | United | Commercial|HMO | $1,916.15 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | United | Commercial|HMO | $1,916.15 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Cigna | Commercial|PPO | $1,975.47 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Cigna | Commercial|All Other Plans | $1,975.47 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | First Health | Commercial|All Plans | $1,975.47 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Non-MCS HMO | $2,004.10 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | Kaiser | Commercial|All Plans | $2,004.10 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Non-MCS PPO | $2,004.10 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | US Behavioral Health | Commercial|All Plans | $2,017.00 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $2,017.00 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $2,017.00 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | US Behavioral Health | Commercial|All Plans | $2,017.00 | $2,017.00 | $562.75 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Cigna | Commercial|PPO | $2,075.40 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Cigna | Commercial|All Other Plans | $2,075.40 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Cigna | Commercial|All Other Plans | $2,075.40 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Cigna | Commercial|PPO | $2,075.40 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Blue Shield CA | Medicare|Promise | $2,147.25 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | Healthsmart | Commercial|All Plans | $2,204.51 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | MultiPlan | Commercial|All Plans | $2,261.77 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $2,290.40 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Healthsmart | Commercial|All Plans | $2,347.66 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $2,369.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $2,369.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | United | Commercial|All Other Plans | $2,398.24 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | United | Commercial|All Other Plans | $2,398.24 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | Blue Shield CA | Medicare|BlueShield Promise | $2,433.55 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | HPN | Medicare|All Plans | $2,484.46 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Cigna | Commercial|All Other Plans | $2,484.46 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Cigna | Commercial|PPO | $2,484.46 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | HPN | Medicare|Senior | $2,536.60 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | HPN | Medicare|Senior | $2,536.60 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $2,575.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | BCBS - Anthem | Commercial|All Other Plans | $2,576.70 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | HPN | Commercial|All Plans | $2,674.96 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | HPN | Commercial|All Plans | $2,674.96 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | United | Commercial|HMO | $2,748.48 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Magellan | Commercial|All Plans | $2,767.20 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Magellan | Commercial|All Plans | $2,767.20 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Kaiser | Commercial|All Plans | $2,859.44 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Kaiser | Commercial|All Plans | $2,859.44 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | BCBS - Anthem | Commercial|MCS | $2,863.00 | $2,863.00 | $1,388.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $2,863.00 | $2,863.00 | $953.38 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|All Other Plans | $2,905.56 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|All Other Plans | $2,905.56 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|Non-Options PPO | $2,987.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Kaiser | Commercial|All Plans | $3,024.56 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|All Other Plans | $3,193.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|Options PPO | $3,193.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | First Health | Commercial|All Plans | $3,228.40 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | First Health | Commercial|All Plans | $3,228.40 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Blue Shield CA | Commercial|Magellan | $3,240.60 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Blue Shield CA | Medicare|BlueShield Promise | $3,347.50 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $3,348.62 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Blue Shield CA | Medicare|BlueShield Promise | $3,459.00 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Blue Shield CA | Medicare|BlueShield Promise | $3,459.00 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | First Health | Commercial|All Plans | $3,510.65 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Kaiser | Commercial|All Plans | $3,605.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|MCS | $3,643.48 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|MCS | $3,643.48 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | MultiPlan | Commercial|All Plans | $3,689.60 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | MultiPlan | Commercial|All Plans | $3,689.60 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|All Other Plans | $3,811.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Care 1st | Medicare|BlueShield Promise | $4,050.75 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | United | Commercial|PPO | $4,104.76 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $4,120.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | MultiPlan | Commercial|All Plans | $4,320.80 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | United | Commercial|HMO | $4,473.64 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | United | Commercial|HMO | $4,473.64 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | SBMG | Commercial|All Plans | $4,612.00 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Redlands | Commercial|All Plans | $4,612.00 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | SBMG | Commercial|All Plans | $4,612.00 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Redlands | Commercial|All Plans | $4,612.00 | $4,612.00 | $1,803.30 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | United | Commercial|Options PPO | $4,860.90 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|HMO | $4,944.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | United | Commercial|HMO | $5,076.94 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $5,150.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | SMIPA | Medicare|All Plans | $5,150.00 | $5,150.00 | $2,214.50 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | United | Commercial|Navigate | $5,401.00 | $5,401.00 | $1,760.73 | 2026-02-28 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | United Health Care | Medicare Advantage | $5,890.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $5,890.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | BCBS | Medicare Advantage | $5,890.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Medica | Commercial | $9,570.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial | $9,781.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | BCBS | Commercial | $9,991.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | $10,517.00 | $10,517.00 | $9,465.00 | 2025-05-12 | MRF ↗ |